86687
HCPCS Procedure Code
HCPCS code 86687 is the #7,526 most-billed Medicaid procedure code, with $16K in payments across 5K claims from 2018–2024. The national median cost per claim is $7.43.
Total Paid
$16K
0.00% of all spending
Total Claims
5K
Providers
21
Avg Cost/Claim
$3
National Cost Distribution
How much do providers bill per claim for 86687? Based on 19 providers billing this code nationally.
Median
$7.43
Average
$5.95
Std Dev
$3.30
Max
$9.73
Percentile Distribution (Cost per Claim)
50% of providers bill between $3.19 and $8.78 per claim for this code.
90% bill between $0.50 and $9.11.
Top 1% bill above $9.62.
About This Procedure
HCPCS code 86687 was billed by 21 providers across 5K claims, totaling $16K in Medicaid payments from 2018–2024. This code was used for 4K unique beneficiaries.
Risk Assessment
Billing Statistics
Median Cost/Claim
$7.43
Providers Billing
19
National Spending
$16K
Avg/Median Ratio
0.80×
Normal distribution
Top Providers Billing This Code
Ranked by total Medicaid payments for 86687
| # | Provider | Total Paid |
|---|---|---|
| 1 | 1164493847 | $7K |
| 2 | 1225033020 | $4K |
| 3 | 1891743522 | $958 |
| 4 | 1619968559 | $592 |
| 5 | The Cleveland Clinic Foundation Cleveland, OH · General Acute Care Hospital | $370 |
| 6 | 1932367398 | $293 |
| 7 | Mount Sinai Hospital New York, NY · Ambulance | $286 |
| 8 | 1588157754 | $263 |
| 9 | 1093138406 | $237 |
| 10 | 1851352256 | $226 |
| 11 | State Of Mississippi - University Of Mississippi Medical Center Jackson, MS · General Acute Care Hospital | $183 |
| 12 | 1699944090 | $174 |
| 13 | 1316166143 | $128 |
| 14 | 1063564771 | $110 |
| 15 | 1083664171 | $106 |
| 16 | 1750536595 | $89 |
| 17 | Seattle Children's Hospital Seattle, WA · Prosthetic/Orthotic Supplier | $71 |
| 18 | 1518917350 | $68 |
| 19 | Yale New Haven Hospital New Haven, CT · General Acute Care Hospital | $40 |
| 20 | 1174515860 | $0 |
Showing top 20 of 21 providers billing this code